Ask the Diabetes Educator Archive

9/21/04

Q:
I am a type 2 diabetic. My blood sugars used to be 6.9 for a long time over a 3months testing. Now they are 7.3 which is not good for me. The problem is I don't know if I am going through dawn phenomenon or going through a perimenapausal stage; I get very hot and cold in the middle of the night.

I have taken my blood sugars at the time it occurs and it is 200 or a little lower. I am taking 5units of humalog in morning with breakfast 12 units at lunch and 10 units for dinner. I am also taking lantus 35units before I go to bed. My doctor added clonidine before I go to bed to see if that would help not really. Some mornings it will be 101 then the very next morning it will be 187. I am also taking premerin 1.25 2 in the morning. I just got another prescription for Amaryl 2mg that I just started today I hope this works.

What can stop this high blood sugar in the mornings? I am experimenting with exercise at 8:30 at night before I go to bed to see if that will help. I just started that and the last to reading in the mornings has been 133 and 149, I exercised about 15min. I am going to do this every night for 2weeks to see if this will help.

Please help me if you know anything I can take or try to reduce this high reading in the mornings. I also have taken black cohosh and it did not help me.

A:
Hormonal changes can definitely cause greater fluctuations in blood sugars. The medications may also be adding to this. Mornings are always the most difficult to control due to the surge of certain hormones during the night. IF you are going through perimenopause, you've got double hormonal dealings now. A thorough nutritional supplementation program complementing a balanced eating plan will usually help.



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